MISS MIA DEBORAH LEE KIM (NPI# 1689917494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689917494 |
| Entity Type | Individual |
| Full Name | MISS MIA DEBORAH LEE KIM |
| Credential | NP |
| Practice Address |
5 Journey Suite 210 Aliso Viejo CA 92656-5336 |
| Mailing Address |
5 Journey Ste 210 Aliso Viejo CA 92656-5332 |
| Practice Telephone | 9493057122 |
| Practice Fax Number | 9493057160 |
| Mailing Telephone | 9493057122 |
| Mailing Fax Number | 9493057160 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2016-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP22238 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003945783 | Mia Y Kim | Marriage & Family Therapist | 560 S San Jose Ave, Covina, CA 91723-3144 | 2007-03-05 |
| Street Address |
5 JOURNEY SUITE 210 |
| City | ALISO VIEJO |
| State | CA |
| Zip Code | 92656-5336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093825259 | Kenneth Patrick Martinez | Psychiatry & Neurology | 5 Journey, Suite 210, Aliso Viejo, CA 92656-5336 | 2006-08-30 |
| 1699326371 | Brian Barragan | Physician Assistant | 5 Journey, Aliso Viejo, CA 92656-5336 | 2019-09-24 |
| 1467857078 | Chardonnay Shinn | Physician Assistant | 5 Journey, Suite #130, Aliso Viejo, CA 92656-5336 | 2014-10-24 |
| 1558629097 | Leah Theresa Centanni | Nurse Practitioner | 5 Journey, Suite 210, Aliso Viejo, CA 92656-5336 | 2012-05-02 |
| 1487958518 | South Coast Medical Group | Clinic/Center | 5 Journey, Suite 130, Aliso Viejo, CA 92656 | 2011-01-04 |
| 1144541665 | Paul Kim | Pain Medicine | 5 Journey, Suite 220, Aliso Viejo, CA 92656-5336 | 2010-06-18 |
| 1437476421 | Scott M. Martin Md Inc | Physical Medicine & Rehabilitation | 5 Journey, Suite 220, Aliso Viejo, CA 92656-5336 | 2010-04-29 |
| 1609027424 | Rebekah Grace Torres | Registered Nurse | 5 Journey, Suite 210, Aliso Viejo, CA 92656-5336 | 2008-10-10 |
| 1790959211 | Duong and Petchpud General Partnership | Dentist | 5 Journey, Suite 250, Aliso Viejo, CA 92656-5336 | 2008-04-16 |
| 1770780462 | Wendy Leigh Reulman | Physician Assistant | 5 Journey, #210, Aliso Viejo, CA 92656-5336 | 2007-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818042 | Cynthia K Vu | Pharmacist | 5 Journey 140, Aliso Viejo, CA 92656 | 2020-07-15 |
| 1275175127 | Anavah Stephens | Student in an Organized Health Care Education/Training Program | 53 Southern Hills Dr, Aliso Viejo, CA 92656 | 2019-10-11 |
| 1427567288 | Rhonda Cheikh | Behavioral Analyst | 175 Woodcrest Ln, Aliso Viejo, CA 92656 | 2017-09-25 |
| 1407305253 | Iman Ashlee Habbas | Social Worker | 5 Mareblu # 100, Aliso Viejo, CA 92656 | 2016-09-21 |
| 1023463692 | Julie Lynn Vuksic | Dietitian, Registered | 34 Prairie Falcon, Aliso Viejo, CA 92656 | 2016-05-02 |
| 1326493396 | Allen Han | Acupuncturist | 1 Remington Lane, Aliso Viejo, CA 92656 | 2016-04-27 |
| 1588027288 | Shawn Kaye | Internal Medicine | 26671 Aliso Creek Rd Ste 206, Aliso Viejo, CA 92656 | 2016-03-30 |
| 1528464443 | Lauren Harness | Occupational Therapy Assistant | 2 Enterprise Apt 11117, Aliso Viejo, CA 92656 | 2014-11-05 |
| 1700200417 | Cornel Crasnean Dds | Dentist | 26888 B South La Paz Road, Aliso Viejo, CA 92656 | 2014-02-17 |
| 1215350467 | Reza M. Birjandi D.d.s.,a Professional Dental Corporation | Dentist | 15 Mareblu Suite 360, Aliso Viejo, CA 92656 | 2014-01-23 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306338579 | Stacy Tse | Nurse Practitioner | 5 Journey Ste 130, Aliso Viejo, CA 92656-5330 | 2018-06-04 |
| 1104273309 | Yen Anker | Nurse Practitioner | 24552 Pacific Park Dr, Aliso Viejo, CA 92656 | 2016-05-17 |
| 1467811406 | Nicole Delehanty | Nurse Practitioner | 5 Journey Ste 210, Aliso Viejo, CA 92656-5332 | 2016-02-18 |
| 1558629097 | Leah Theresa Centanni | Nurse Practitioner | 5 Journey, Suite 210, Aliso Viejo, CA 92656-5336 | 2012-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447851647 | Melanie Ganotisi | Nurse Practitioner | 11541 Blucher Ave Unit 125, Granada Hills, CA 91344-4362 | 2020-11-04 |
| 1659971729 | Raquel Y Mccarthy | Nurse Practitioner | 334 Via Vera Cruz Ste 257, San Marcos, CA 92078-2643 | 2020-10-28 |
| 1689274607 | Aleksandra Zaitseva | Nurse Practitioner | 6850 Sepulveda Blvd Ste 215, Van Nuys, CA 91405-4450 | 2020-10-28 |
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
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| City | ALISO VIEJO |
| Zip Code | 92656 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.